Ikids Pediatric Dentistry Arlington

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

24272 Issued in TX

Legal business name

IKIDS PEDIATRIC DENTISTRY ARLINGTON

Practice address

3801 S Cooper St Ste 109
Arlington, TX 76015

Phone

(817) 467-9089

Fax

(817) 472-9008

NPI assigned

Sep 13, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alyssa Aguilar

Title

Director of Revenue & Credentialing

Phone

(817) 466-8554

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• WeeCare Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose Fernando Ochoa-Grijalva

  • Pediatric Dentistry
  • Mount Vernon, WA
  • NPI 1750435988
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1700168192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E BROAD ST STE 204",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634361",
            "telephone_number": "817-466-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S COOPER ST STE 109",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76015",
            "telephone_number": "817-467-9089",
            "fax_number": "817-472-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKIDS PEDIATRIC DENTISTRY ARLINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE & CREDENTIALING",
        "authorized_official_telephone_number": "817-466-8554"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "24272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200886401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200886404",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200886402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200886403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WeeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lydia Ihazah
• Ihde Surgical Group, PA
• Safia Abdulle Iid, SOLE PROPRIETOR
• Evelyn Chika Ike-Thomson, FNP, AGACNP, DNP
• Georgiana Ikeneme
• Ikids Pediatric Dentistry Viridian, PLLC
• Jessika Iloff
• Imaging & Medical Diagnostic Specialists, P.a.
• Mohammed Waseem Imam, D.O.
• Quazi M Imam, MD

• Pediatric Dentistry in Arlington, TX
• Providers in Arlington, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.